California Insurance Commissioner sues AbbVie alleging illegal kickbacks
California Insurance Commissioner Dave Jones announced he filed an insurance-fraud complaint in Alameda County Superior Court on behalf of the State of California against AbbVie alleging the company gave illegal kickbacks to health care providers to prescribe Humira. The case, which is filed on behalf of the State under the Insurance Frauds Prevention Act, alleges that private insurers have paid out $1.2B in Humira-related pharmacy claims, making this the largest health insurance fraud case in department history. According to the complaint, AbbVie engaged in a far-reaching scheme including both classic kickbacks and more sophisticated ones to induce and reward Humira prescriptions. The allegations of AbbVie's misconduct were brought to the attention of the department by a whistleblower. The whistleblower, referred to legally as a relator, is a registered nurse and was employed as an AbbVie Nurse Ambassador in Florida.